Evidence-Based Medicine and Women: Do the Principles and Practice of EBM Further Women's Health?

Bioethics 18 (1):50-71 (2004)
Abstract
Clinicians and policy makers the world over are embracing evidence-based medicine. The promise of EBM is to use summaries of research evidence to determine which healthcare interventions are effective and which are not, so that patients may benefit from effective interventions and be protected from useless or harmful ones. EBM provides an ostensibly rational and objective means of deciding whether or not an intervention should be provided on the basis of its effectiveness, in theory leading to fair and effective healthcare for all. In this paper I closely examine these claims from the perspective of healthcare for women, using relevant examples. I argue that the current processes of evidence-based medicine contain a number of biases against women. These biases occur in the production of the research that informs evidence-based medicine, in the methods used to analyse and synthesise the evidence, and in the application of EBM through the use of guidelines. Finally, the biomedical model of health that underpins most of the medical research used by EBM ignores the social and political context which contributes so much to the ill-health of women
Keywords No keywords specified (fix it)
Categories (categorize this paper)
DOI 10.1111/j.1467-8519.2004.00378.x
Options
 Save to my reading list
Follow the author(s)
Edit this record
My bibliography
Export citation
Find it on Scholar
Mark as duplicate
Request removal from index
Revision history
Download options
Our Archive


Upload a copy of this paper     Check publisher's policy     Papers currently archived: 29,848
Through your library
References found in this work BETA
Wanted.Rebecca Dresser - 1992 - Hastings Center Report 22 (1):24-29.
Evidence Based Medicine and Ethics.T. Hope - 1995 - Journal of Medical Ethics 21 (5):259-260.

Add more references

Citations of this work BETA
Ethics and EBM: Acknowledging Bias, Accepting Difference and Embracing Politics.Ian Kerridge - 2010 - Journal of Evaluation in Clinical Practice 16 (2):365-373.
Gender and Trust in Medicine: Vulnerabilities, Abuses, and Remedies.Wendy Rogers & Angela Ballantyne - 2008 - International Journal of Feminist Approaches to Bioethics 1 (1):48-66.
When is Sex-Specific Research Appropriate?Wendy Rogers & Angela Ballantyne - 2008 - International Journal of Feminist Approaches to Bioethics 1 (2):36-57.
Regulatory Options for Gender Equity in Health Research.Belinda Bennett & Isabel Karpin - 2008 - International Journal of Feminist Approaches to Bioethics 1 (2):80-99.

Add more citations

Similar books and articles
Perspectives on Evidence-Based Healthcare for Women.Maya J. Goldenberg - 2010 - Journal of Women's Health 19 (7):1235-1238.
Whither Our Art? Clinical Wisdom and Evidence-Based Medicine.Malcolm Parker - 2002 - Medicine, Health Care and Philosophy 5 (3):273-280.
Mechanisms: What Are They Evidence for in Evidence-Based Medicine.Holly Andersen - 2012 - Journal of Evaluation in Clinical Practice 18 (5):992-999.
Does Evidence-Based Medicine Apply to Psychiatry?Mona Gupta - 2007 - Theoretical Medicine and Bioethics 28 (2):103.
Evidence-Based Medicine Must Be ..A. la Caze - 2009 - Journal of Medicine and Philosophy 34 (5):509-527.
Beyond EBM: New Directions for Evidence-Based Public Health.Wendy L. McGuire - 2005 - Perspectives in Biology and Medicine 48 (4):557-569.
Evidence-Based Medicine Can't Be….Adam La Caze - 2008 - Social Epistemology 22 (4):353 – 370.
Added to PP index
2010-09-01

Total downloads
24 ( #230,461 of 2,210,536 )

Recent downloads (6 months)
7 ( #64,886 of 2,210,536 )

How can I increase my downloads?

Monthly downloads
My notes
Sign in to use this feature